Additional Information

Last updated November 16, 2022
Created December 11, 2021
Format application/pdf
Form Number https://forms.mgcs.gov.on.ca/dataset/fa42118e-c34a-421a-9e50-e19aabc87273/resource/962e1541-b499-44db-bf5c-0ce966448cba/download/1819-67e.pdf
Form File Identifier 014-1819-67e
Name English - 014-1819-67e - Application for Equipment Listing Wheelchairs, Positioning and Ambulation Aids
Form File Status Available
Description

This form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved devices.

Language English
Functionality Fill, Print, and Save
Form File Content Type Form
Remark
Edition Date 2022-11